Do I Need A Breast Lift For My Saggy Breasts?

Q: Dr. Eppley, I’m a nineteen year old female and since I was 16 I have had saggy breasts. When I was 16 I was a bit overweight. I weighed 180 at 5.5″. By the time I was 18 I had gotten my weight down to 120. I did this by working out and eating healthier. My breast still looked the same however. They are so saggy for my age. I have a small chest too. I’m a 34 B so I’m not sure if I have a medical condition or just bad luck but I want to know if my best option is a breast lift and or going up to a size C with implants.

A: While I have not seen pictures of your breasts, I can make several general statements. Whatever degree of breast shape/sagging you have, it is due to your genetics and the natural way that they developed. Their current shape is not due to a medical condition. While the concept of sagging is a relative one, when someone who is very young like you describes that they have saggy breasts they most likely really do have ptosis (sagging), it is just a matter of the degree of it. But when you combine the issue of a 60 lb weight loss, one can be assured that this is real breast sagging. (low nipple position relative to the lower breast fold) Thus some form of a breast lift is probably needed. Whether an implant is done at the same time to increase breast size as well is an option open for further discussion.

Dr. Barry Eppley

Indianapolis, Indiana